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NOTICE OF DE-•D RESTRICTIONS: The-undersigned understands that this permit may be subject to"deed" restrictions",.
<br /> which may be moire-restrictive than County regulations. The undersigned assumes responsibility for compliance:with,any_:`.
<br /> applicable deed:restrictions.
<br /> UNLICENSED C.QNTRACTORS AND CONTRACTOR RESPONSIBILITIES:. If the. owner has hired.a contractor or
<br /> contractors to undertake work; they maybe required`to be licensed in accordance with state_ and;locahregulatioris 1f,the
<br /> contractor is not licensed as required by law, both the owner and contractor may'be cited fora misdemeanor violation
<br /> under,state law. if the owner or intended"contractor are uncertain as-to-what_licensing requirements:may-apply`for'the"
<br /> intended work, they are advised to contact the Pasco County Building Inspection'Division=Licensing Section at 727-847-
<br /> 8009. Furthermore, -if the owner has hired•a contractor or contractors,. he..is.advised..to.have the confractor(s) sign- -
<br /> portions of the "contractor Block" of this application for which they-will.be-responsible. If you, as the owner sign as the
<br /> contractor, that mI be an indication that he is not-properly licensed and is not entitled to-permitting„privileges_n,-Pasco r.
<br /> County.
<br /> TRANSPORTATION.IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:"The undersigned understands_.
<br /> that TransportatioT Impact Fees and.'Recourse.RecoveryFees may apply to'the construction of new,buildings, change,of
<br /> use in existing buildings, or expansion of existing buildings;.as specified in Pasco County.Ordinance number 89.707.:and.- ..
<br /> 90-07; as amended: The undersigned--also"understands, that such fees, as-maybe-due;will-be identified at the"'time of
<br /> permitting. It is further understood that Transportation Impact Fees and Resource.Recovery Fees must be.paid prior,to
<br /> receiving a "certificate of occupancy" or final power release. If the•.project does not'-involve a;certificate of occupancy-or
<br /> final.power release,-the-fees must be paid prior to permit issuance. Furthermore,'if Pasco County Water/Sewer:Impact "
<br /> fees are due, they must be.paid prior to permit issuance in-accordance with applicable Pasco County ordinances:
<br /> CONSTRUCTION LIEN LAW(Chapter 7.13, Florida Statutes, as amended):-If valuation of work.is$2,500.00,or".More, I
<br /> certify`that I, 'the applicant; "have been' provided with- a copy of the,"Florida Construction Lien Law—Homeowner's
<br /> Protection Guide" repared by..the,.Florida Department of Agriculture and Consumer Affairs. If the applicant is someone.
<br /> other than the"owrter', I certify that I have obtained a copy of the above described document-and promise in good faith to
<br /> deliver it to the"owner" prior to commencement:.
<br /> CONTRACTOR'Si3OWNER'S-AFFIDAVIT:-i Icertify°that.,all-the,information in-this:-application is accurate and that all}.work
<br /> will be done in cot pliance with all applicable„laws..regulating_construction, zoning,and-land-development. Application is
<br /> hereby made to obtain a permit to do work''and installation as indicated. •1 certify that no work or installation-has
<br /> commenced prior to issuance;,of.a:permit and -that all work will,.be"performed to meet standards of all,laws regulating,
<br /> construction, County and City codes, zoning regulations, and `land-development regulations in the jurisdiction. I 'also
<br /> certify that I understand that the regulations of other government agencies may'apply to--the intended work, and that it is
<br /> my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br /> Department of Environmental Protection-Cypress Bayheads, Wetland Areas,and Environmentally Senisitive
<br /> Lands,Water/Wastewateffteatmenf.
<br /> Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br /> Watercourses. I"
<br /> orps of Engineers-Seawalls, Docks, Navigable Waterways.
<br /> Army�
<br /> Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br /> Septic Tanks.
<br /> US Environmental Protection Agency-Asbestos abatement.
<br /> Federa Aviation Authority-Runways.
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<br /> I understand that:the-following:.restrictions apply.to the use of fill:
<br /> Use.of 1il_is.not.alloi i ed'in Flood Zone W." unless expressly permitted.
<br /> If the fill material is'.to be used in Flood Zone "A",. it is understood that a drainage plan addressing a
<br /> "compensating,.volume"will.be submitted at time of permitting which is prepared by a professional engineer
<br /> licensed by the State of Florida.
<br /> If the,fill,rriaterial-.,is:to•be used in Flood Zone "A".in connection with a permitted building using stem wall
<br /> construction; l certify-that fill will be used only to fill the area within the-stem wall.
<br /> If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br /> propertl�es:"If use of fill is found to adversely affect adjacent properties, the-owner may be"cited-for violating
<br /> the conditions of the building permit issued under.the attached permit application, for lots less than one (1)
<br /> acre W ich:'are•elevated by fill;an engineered drainage.plan is required.
<br /> If I am the AGENT OR'THE OWNER, I promise in good faith"to inform'the owner of the permitting conditions set forth-in
<br /> this affidavit prior-t1commencing construction. I understand that a separate permit may be required for electrical Work,
<br /> plumbing, signs, wells;-pools, air conditioning, gas, or other installations not specifically included in the application. A
<br /> permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or..
<br /> i •
<br /> set aside any provisios -ns.of the"technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
<br /> of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
<br /> requiring a correctio�i
<br /> unless the work authorized by-such permit is commenced within six months of permit issuance, or if work authorized by
<br /> the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
<br /> may be requested, in writing, from,the._Building Official fora period not to exceed ninety (90) days and will demonstrate
<br /> justifiable cause for the extension. if.work ceases for ninety(90)consecutive days, the job is considered abandoned? '
<br /> WARNING TO-OWNER: YOUR FAILURE,TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br /> PAYING TWICE FOO'IMPROVEMENTS`TO'YOUR PROPERTY.11F YOU INTEND'TO OBTAIN FINANCING,CONSULT
<br /> WITH.YOUR LENDER OR AN AT TORNEY.BEFORE RECORDING'YOUR'ROTICE OF COMMENCEMENT.
<br /> _ F4913 JURAT'(F.S.117.03) -- _
<br /> OWNER OR AGENTQ , t CONTRACTOR Q..- A--A ECo»vny AenG-o_ 4-LG
<br /> Subscribed andbswo (or affirmed)before me this Subscribed and by
<br /> om to(or affirmed)before me this
<br /> Y
<br /> Who Is/are personally known to me or hasthave produced Who Is/are personally known tome or has/have produced
<br /> as identification. as identification.
<br /> Notary Public Notary Public
<br /> Commission No. Commission No.
<br /> Name of Notary typed,pri'ted or stamped Name of Notary typed,printed or stamped
<br /> 1� _
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